The Health Care Center-forum Tucson - Tucson Nursing Home
General Information
UPDATEFederal Provider Number
35199
Provider Name
THE HEALTH CARE CENTER-FORUM TUCSON
Provider Address
2500 NORTH ROSEMONT BOULEVARD
TUCSON, AZ 85712
TUCSON, AZ 85712
Provider Phone Number
5207957892
Provider SSA County
90
Provider County Name
Pima
Ownership Type
For profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FIVE STAR TUCSON FORUM LLC
Date First Approved to Provide Medicare and Medicaid services
1990-01-05
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35227
Reported LPN Staffing Hours per Resident per Day
1.45909
Reported RN Staffing Hours per Resident per Day
0.68977
Reported Licensed Staffing Hours per Resident per Day
2.14886
Reported Total Nurse Staffing Hours per Resident per Day
4.50113
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18864
Expected CNA Staffing Hours per Resident per Day
2.16535
Expected LPN Staffing Hours per Resident per Day
0.63852
Expected RN Staffing Hours per Resident per Day
1.38411
Expected Total Nurse Staffing Hours per Resident per Day
4.18799
Adjusted CNA Staffing Hours per Resident per Day
2.66551
Adjusted LPN Staffing Hours per Resident per Day
1.89663
Adjusted RN Staffing Hours per Resident per Day
0.37237
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33229
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
184
Cycle 1 Standard Survey Health Date
2014-09-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
184
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-06-12
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
102.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
47350
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Handmaker Home For The Aging
2221 North Rosemont Boulevard |
TUCSON AZ 85712 | 0.3 mile away
Foothills Rehabilitation Center
2250 North Craycroft Road |
TUCSON AZ 85712 | 0.6 mile away
Santa Rosa Care Center
1650 North Santa Rosa Avenue |
TUCSON AZ 85712 | 0.7 mile away
Pueblo Springs Rehabilitation Center
5545 East Lee Street |
TUCSON AZ 85712 | 0.9 mile away
Villa Maria Care Center
4310 East Grant Road |
TUCSON AZ 85712 | 1 mile away
Sabino Canyon Rehabilitation & Care Center
5830 East Pima Street |
TUCSON AZ 85712 | 1.2 miles away
Devon Gables Rehabilitation Center
6150 East Grant Road |
TUCSON AZ 85712 | 1.4 miles away
Manorcare Health Services
3705 North Swan Road |
TUCSON AZ 85718 | 1.6 miles away
Villa Campana Rehabilitation Hospital Llc
6651 East Carondelet Drive |
TUCSON AZ 85710 | 2.6 miles away
Catalina Post Acute And Rehabilitation
2611 North Warren Avenue |
TUCSON AZ 85719 | 3.7 miles away
Park Avenue Health And Rehabilitation Center
2001 North Park Avenue |
TUCSON AZ 85719 | 4.3 miles away
Avalon Southwest Health & Rehabilitation
2900 East Milber Street |
TUCSON AZ 85714 | 6.2 miles away
La Rosa Health Care Center
7500 North Calle Sin Envidia |
TUCSON AZ 85718 | 6.8 miles away
Arizona State Veteran Home-tucson
555 East Ajo Way |
TUCSON AZ 85713 | 6.9 miles away
Casas Adobes Post Acute Rehab Center
1919 West Medical Street |
TUCSON AZ 85704 | 8.6 miles away
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